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At around 2.00am, emergency services responded to a serious car crash on St Marks Road in Randwick.
On arrival, a 20-year-old male was found trapped inside his vehicle with severe injuries to his lower limbs.
Intensive care paramedics were tasked to the incident and a further upgrade to a medical team was requested.
The male was trapped for 1 hour and 50 minutes. Police Rescue, Fire & Rescue NSW, and Paramedics worked tirelessly to free the male.
A total of three vehicles were damaged, with two being written off.
The force of the impact was so great that a parked truck was forced onto the footpath.
An ambulance spokesman said the male was very lucky to survive.
The male was transported to St Vincent's hospital in a serious but stable condition. He has suffered extensive lower limb injuries.
A blood sample will be taken to determine if alcohol was contributing factor to the accident.